Source · Investigations in the NHS

An independent investigation into the care and treatment of Mr J: Published March 2025

North East and Yorkshire Published 01 Mar 2025 Subject Mr J

Index summary

This is the executive summary of the independent investigation into the care and treatment of Mr J.

Recommendations

4 total
a Addressed to: The Trust No Response Published

Link to recommendation a

Recommendation · source text
We have referred to potential improvements in the formulation of an individual’s difficulties, care planning and risk assessment to clarify the understanding of complex cases. The Trust develop a care panning process which provides greater emphasis on a longitudinal perspective, more curiosity regarding the full range of factors influencing behaviour, and risk summaries that are updated and lend themselves more easily to safety planning approaches.
b Addressed to: The Trust No Response Published

Link to recommendation b

Recommendation · source text
This investigation highlights some of the problems associated with teams working independently from each other, with the potential for individuals with complex difficulties to fall outside of service criteria, or to be excluded from some service provision. The Trust should ensure a pathway of care that promotes joint working between teams and a shared understanding of patients which will help to reduce this area of risk.
c Addressed to: The Trust No Response Published

Link to recommendation c

Recommendation · source text
The Trust should ensure a greater degree of proactive planning, informed by dynamic risk assessment and care planning, to manage complex cases in the community.
d Addressed to: The Trust No Response Published

Link to recommendation d

Recommendation · source text
The Trust should ensure a more proactive approach to family involvement in the care of patients with psychosis which could improve care planning and enhance support to patients and their families.

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.